Slovenská chirurgia 4/2022

Complications of laparoscopic proctocolectomy for ulcerative colitis

Ulcerative colitis (UC) is chronic inflammatory disease of rectum and large bowel with increasing incidence. With introducing biological therapy into the management of these patients the number of indications of surgical therapy has decreased, however significant group of patients are non-responders, i.e. do not respond or lose response subsequent to an initial response. Surgery is integral part of therapeutic approach for patients with UC with increasing rate of intervention proportionally with duration of the disease. Nowadays laparoscopic modified two-stage restorative proctocolectomy with IPAA is the preferred method of surgery. Surgical treatment of UC is connected with significant morbidity. Beside most feared infectious complications including anastomotic leak there are rare complications like haemorrhage and lesions of urinary tract. Although urinary tract leasions are infrequent the consequences can be often harmful. Autors demonstrate combination of perioperative complications by the case report drawing the attention to measures that can help to prevent occurence of this situation.

Keywords: ulcerative colitis, proctocolectomy, complications, ureter lesion, haemorrhage